| NPI | 1689048803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000020702) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN180315) |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2021-10-29 |